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Buried bumper syndrome with a fatal outcome, presenting early as gastrointestinal bleeding after percutaneous endoscopic gastrostomy placement.
J Postgrad Med. 2003 Oct-Dec; 49(4):325-7.JP

Abstract

Percutaneous Endoscopic Gastrostomy (PEG) has gained wide acceptance among patients who require prolonged tube-feeding support. A rather unusual complication of PEG placement is migration of the internal bumper through or into the abdominal wall. This was first described in 1988 and is called the buried bumper syndrome (BBS). The syndrome is a late complication of PEG tube placement. The manifestations of the syndrome must be recognised and the patient referred for emergency endoscopy and removal of the bumper. Failure to recognise this syndrome may result in serious complications including gastrointestinal bleeding, perforation of the stomach, peritonitis and death. We describe a case where a patient developed the buried bumper syndrome quite early after PEG placement. The syndrome manifested with gastrointestinal bleeding. Although we removed the buried bumper endoscopically, and placed another PEG tube, the patient developed peritonitis and died 16 hours after the removal of the migrated bumper.

Authors+Show Affiliations

Gastroenterology Department, 251 Hellenic Air Force and Veterans General Hospital, Greece. gkanagnostopoulos@yahoo.grNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

14699231

Citation

Anagnostopoulos, G K., et al. "Buried Bumper Syndrome With a Fatal Outcome, Presenting Early as Gastrointestinal Bleeding After Percutaneous Endoscopic Gastrostomy Placement." Journal of Postgraduate Medicine, vol. 49, no. 4, 2003, pp. 325-7.
Anagnostopoulos GK, Kostopoulos P, Arvanitidis DM. Buried bumper syndrome with a fatal outcome, presenting early as gastrointestinal bleeding after percutaneous endoscopic gastrostomy placement. J Postgrad Med. 2003;49(4):325-7.
Anagnostopoulos, G. K., Kostopoulos, P., & Arvanitidis, D. M. (2003). Buried bumper syndrome with a fatal outcome, presenting early as gastrointestinal bleeding after percutaneous endoscopic gastrostomy placement. Journal of Postgraduate Medicine, 49(4), 325-7.
Anagnostopoulos GK, Kostopoulos P, Arvanitidis DM. Buried Bumper Syndrome With a Fatal Outcome, Presenting Early as Gastrointestinal Bleeding After Percutaneous Endoscopic Gastrostomy Placement. J Postgrad Med. 2003 Oct-Dec;49(4):325-7. PubMed PMID: 14699231.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Buried bumper syndrome with a fatal outcome, presenting early as gastrointestinal bleeding after percutaneous endoscopic gastrostomy placement. AU - Anagnostopoulos,G K, AU - Kostopoulos,P, AU - Arvanitidis,D M, PY - 2003/12/31/pubmed PY - 2004/3/19/medline PY - 2003/12/31/entrez SP - 325 EP - 7 JF - Journal of postgraduate medicine JO - J Postgrad Med VL - 49 IS - 4 N2 - Percutaneous Endoscopic Gastrostomy (PEG) has gained wide acceptance among patients who require prolonged tube-feeding support. A rather unusual complication of PEG placement is migration of the internal bumper through or into the abdominal wall. This was first described in 1988 and is called the buried bumper syndrome (BBS). The syndrome is a late complication of PEG tube placement. The manifestations of the syndrome must be recognised and the patient referred for emergency endoscopy and removal of the bumper. Failure to recognise this syndrome may result in serious complications including gastrointestinal bleeding, perforation of the stomach, peritonitis and death. We describe a case where a patient developed the buried bumper syndrome quite early after PEG placement. The syndrome manifested with gastrointestinal bleeding. Although we removed the buried bumper endoscopically, and placed another PEG tube, the patient developed peritonitis and died 16 hours after the removal of the migrated bumper. SN - 0022-3859 UR - https://www.unboundmedicine.com/medline/citation/14699231/Buried_bumper_syndrome_with_a_fatal_outcome_presenting_early_as_gastrointestinal_bleeding_after_percutaneous_endoscopic_gastrostomy_placement_ DB - PRIME DP - Unbound Medicine ER -